Superficial Cervical Plexus Block for Acute Herpes Zoster at C3-4 Dermatome.
- Author:
Ki Bum PARK
1
Author Information
1. Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine, Daegu, Korea. Parkkibum@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Cervical plexus;
Herpes zoster;
Nerve block;
Postherpetic neuralgia
- MeSH:
Acute Pain;
Cervical Plexus*;
Exanthema;
Herpes Zoster*;
Humans;
Lidocaine;
Middle Aged;
Nerve Block;
Neuralgia, Postherpetic;
Pain Clinics;
Pruritus;
Triamcinolone
- From:Keimyung Medical Journal
2015;34(2):152-156
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 50-year-old man visited our pain clinic due to acute herpes zoster with rash occurred 10 days ago. The crusts formed and covered left C3-4 dermatome. Neuroaxial block was worried about infection. Superficial cervical plexus block (SCPB) was performed at left C4 level twice for a month with 1% lidocaine 20 mL and triamcinolone 20 mg. After SCPB, pain and itching were reduced and the patient could sleep at night without awakening. But pregabaline 150 /day was kept due to mild to moderate pain and itching 7 months later from rash. In this case, SCPB was effective method to reduce acute pain and itching but it could not prevent postherpetic neuralgia.
